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WERKGROEP HERSENTUMOREN vzwStudy Group Brain TumoursRECENT ADVANCES IN THE BRAIN IMAGINGA PATIENTS OPINION16.03.2010European Parliament, Brussels

WERKGROEP HERSENTUMOREN VZWStudy Group Brain TumoursBrain TumoursIncidence HG BT 8 new cases/100.000 people/yearIncidence LG BT 8 new cases/100.000 people/yearSource: Improving Outcomes for People with Brain and other CNS Tumours; National institute for Health and Clinical Excellence, June 2006In Europe80.000 new cases/year

Typical Stages of the DiseaseVague SymptomsHeavy Neurological SymptomsDiagnosisDetailed DiagnosisNeurosurgeryRadiotherapy if HGChemotherapy if HGRehabilitationAdaptation-IntegrationFollow Up ACUTE PHASE

TREATMENT

REHABILITATION

DIAGNOSIS=LOOKING INSIDE THE SKULL

LOOKING INSIDE THE SKULL2 METHODSCT-SCAN

Work with X-raysIonising effectsMay cause cancer (certainty) Lower resolutionMRI-SCAN

-Work with magnetical resonance-Raise of temperature of 0,1 C-No known lasting effects-No evidence for cancer-Higher resolution

DETAILED DIAGNOSISPrimary or secundary brain tumour ?Exact locationFunctional analysis (PET-SCAN)EEGStereotactical biopsy

NEUROSURGERYStereotactical frameMappingAwake surgeryNeurostimulationInterventional MRI

FOLLOW UPRegular Controls with MRI

CONCLUSIONSDiagnosis, treatment and follow up depend entirely on the MRI technologyMRI is a less harmful tool than CTQuality of images are superior with MRI